| NPI | 1346311875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5433) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 023505) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-12-29 |